Search › Illinois › 363LA2200X
Mae Grace Mendoza, APN
NPI 1023563335 · on the registry since 2016
Practice
- Address
- 3880 Salem Lake Dr # F
Long Grove, IL 60047 - Phone
- (847) 235-3072
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois